preliminary findings: dance movement therapy in the ... · dance movement therapy in the treatment...

UNIVERSITY OF JYVÄSKYLÄ

Preliminary findings:Dance Movement Therapy in the

treatment of depression

Department of Psychology, University of Jyväskylä,Jyväskylä, Finland

Research group: Prof. Raimo Lappalainen; KatriinaHyvönen (University Researcher), Päivi Pylvänäinen(Researcher) and Anita Forsblom (Researcher)

Funding: The Finnish Social Insurance Institution (KELA),January 2017- December 2019


Aims of the research:

n The main aim of the research is to investigate the effectiveness ofDMT in the treatment of depression with a RCT study design.

n The DMT groups took place in Autumn 2017 and Spring 2018 in 11different locations in Finland.


Study phasesSt

udy

phas

e1

Stud

y ph

ase

2

Stud

y ph

ase

3Spring (2017)• Therapists’ training• Screening of participants• Randomisation of

participants• Forming groups

Intervention study(Autumn 2017/ Spring 2018)• Participants are randomised

into two groups: DMT groupstarting in September orOctober 2017 vs. Controlgroups

• Pre-measurement: one weekbefore the group

• DMT groups: 20 sessions• Post-measurement:

immediately after the groups• Follow-up measurement: 3

months after the groupsFebruary 2018

• DMT groups for controls start inMarch or April 2018

• Post-measurement for controlgroups May or June 2018

• Follow-up measurements forcontrol groups: 3 months afterthe groups

• Therapists’ supervisionthroughout the interventionperiods

Publications andreports (2018/2019)• Is there a significant

reduction in symptomsduring the DMTintervention?

• What is the effect of DMTintervention on bodyimage?

• Who benefit from the DMTintervention?

• What kind of expectationsand experiencesparticipants had in the DMTgroups?


Participants (1/2)n Screening interviews 235:

– Diagnosis of depression– Ability to work or study is impaired by a mental health disorder– Received at least three months of appropriate therapy after the disorder was

diagnosed– Based on a psychiatrist's statement, it can be determined that rehabilitative

psychotherapy is necessary to improve or support your ability to work or study– Suicidality (exclusion criteria)– Alcohol risks (exclusion criteria)– Pregnancy (exclusion criteria)– Not able to stand up or sit down on the floor without assistance (exclusion criteria)– Psychotic symptoms (exclusion criteria)– Ongoing psychotherapy (exclusion criteria)

n Randomised groups in five larger cities: 52 in DMT groups and 57 incontrol groups (treatment as usual)

n Non-randomised groups in smaller cities: 20 in DMT groups and 16 incontrol groups (the results of one group is not reported in thispresentation)

n One group for participants who received disability pension (5participants)


Participants (2/2)n 150 participants (one non-randomised group not included) at T1

(pre-measurement)– 85% of participants responded at T2 post-measurement– 74% of participants responded at T3 follow-up measurement

n Mostly females (97%)n Average age 42 years (range: 18 – 64 years)n Living arrangements: 40% live alone, 17% with partner without

children, 16% with partner and children, 8% with children, 19%other living arrangements (e.g., shared flat, with pets, withparents, with children every other week)

n Education: 6% comprehensive school, 32% college/A levels,12% vocational qualifications, 25% lower university degree and20% higher university degree, 6% other (e.g., in college, PhD)

n 22% full-time employment, 11% part-time employment, 10%unemployed, 11% disability allowance, 18% studying, 28% other(e.g., self-employed, sick leave, rehabilitation allowance)

n 75% previous periods of depressionn 57% antidepressants


Treatment as usual (TAU)

n Individual sessions (e.g., meetings with psychologists,psychiatric nurses)– Once in 1-2 weeks 33%– Once in 3-4 weeks 34%– Once in 5 weeks 21%

n Weekly treatment group 10%n Leisure groups 31%


Factors contributing to depression

n Problems in close relationships 70%n Substance misuse 15%n Traumatisation (physical violence, mistreatment, emotional

cruelty, serious accident) 52%n Physical illness 26%n Problems at work 40%n Financial difficulties 34%n Personal way of thinking and values 51%n Deterioration of physical condition and fitness 38%n Lack of creativity and self expression 32%n Something else 29% (e.g., housing, bereavement or loss,

being a single parent, poor sleep, lack of self awareness,bullying, unemployment, loneliness)


Measurementsn BDI (21 items) clinical cut-off points:

– under 10 = no depression– 10-16 = mild depression– 17-29 = moderate depression– 30-63 = severe depression

n CORE-OM (34 items): Well-being, problems, functioningand risks– Clinical cut-off point 10 ( or 1.0 when values range between 0-

16)n Symptoms Check List (SCL-90;90 items)n Five Facet Mindfulness Questionnaire (FFMQ: 39 items)n RQ (attachement style)n Work Ability Index (WAI)n Body image interview


Changes in BDI scores T1 –T3Treatment group T1

M (SD)T2M (SD)

T3M (SD)

DMT R (n=52) 21.5 (8.9) 15.2 (9.7) 13.3 (8.3)

DMT non-R (n=20) 20.2 (5.6) 15.3 (7.3) 18.1 (10.6)

Control R (n=57) 22.4 (8.1) 20.6 (10.0) 21.5 (9.9)

Control non-R (n=16) 25.2 (9.3) 23.7 (7.7) 22.6 (8.0)

Disability pension(n=5)

24.2 (12.1) 16.2 (10.5) 17.4 (8.1)

F-value .93, ns. 3.47*DMT-R < Control Rt,Control non-R

4.78**DMT-R < ControlR, Control non-R


12,00

14,00

16,00

18,00

20,00

22,00

24,00

26,00

T1 T2 T3

DMT R (n=52) DMT non-R (n=20) Control R (n=57) Control non-R (n=16) Disability pension (n=5)


Changes in CORE-OM scores T1 –T3Treatment group T1

M (SD)T2M (SD)

T3M (SD)

DMT R (n=52) 6.08 (2.3) 4.92 (2.8) 4.70 (2.6)

DMT non-R (n=20) 6.10 (1.8) 5.04 (2.0) 5.51 (3.0)

Control R (n=57) 6.43 (2.0) 6.50 (2.4) 6.36 (2.1)

Control non-R (n=16) 6.67 (2.2) 7.19 (2.2) 6.45 (2.1)

Disability pension(n=5)

6.77(2.8) 4.73 (3.4) 4.83 (3.0)

F-value .41, ns. 3.92**DMT-R < Control R,Control non-R

2.77*DMT-R < ControlR

The CORE-OM scores reported can range between 0-16. The total scoresare calculated by adding up the mean scores of the four dimentions (Well-being, Problems, Functioning and Risks).


4

4,5

5

5,5

6

6,5

7

7,5

T1 T2 T3

DMT R (n=52) DMT non-R (n=20) Control R (n=57) Control non-R (n=16) Disability pension (n=5)

Changes in CORE-OM scores T1 –T3

v


For further details, please contact:

Katriina Hyvönen: tel. +358 (0)40-7650584, email:[email protected]

Päivi Pylvänäinen: tel. +358 (0)40-8054242, email:[email protected]

Department of PsychologyP.O. Box 3540014 University of Jyväskylä

preliminary findings: dance movement therapy in the ... · dance movement therapy in the treatment...

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